Forms

  • New Patient Form

    Please fill out this demographics and health history form prior to your appointment. You may save your progess and come back if needed. You may also submit the finished form electronically or print it and bring a hard copy in with you.

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  • Existing Patient Form

    If you have been to our office within the last THREE years please update your information here.

    If it has been longer than THREE years please fill out the New Patient Form.

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  • Refraction Form

    This form explains the refraction policy. By law your prescription for glasses and/or contacts, is only valid for one year. If you choose to update your glasses prescription, you must sign that you agree to the policy.

    Contact lens wearers: You MUST have a refraction to update your contact lens prescription, regardless of your desire to update your glasses prescription.

    Feel free to print the form and sign it prior to your appointment and bring it with you.

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  • Records Request

    Please print and fill out the appropriate form if you wish for us to send or receive your records.

    Request for Records

    Release of Medical Records